| NPI | 1891813572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN378521) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH CNP.0031125) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2022-04-06 |