| NPI | 1881003424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.15914) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.15914-NP) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2019-02-08 |