| NPI | 1891219002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020924) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.402905) |
| Enumeration Date | 2017-07-29 |
| Last Update Date | 2020-01-02 |