| NPI | 1871999763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 16972) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.363141) |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2018-10-02 |