| NPI | 1912451287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH LE.00021923) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.324454) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2020-12-03 |