| NPI | 1871991281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9447998) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 17899-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024044) | |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2019-10-17 |