| NPI | 1881229615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.024209) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 024209) |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-05-07 |