| NPI | 1912255225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH COA 17203) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.201106) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2021-12-27 |