| NPI | 1891801403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 00983) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH CTP000983/RN228988) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-09-10 |