| NPI | 1891132494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.14630-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 14630) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2020-07-29 |