| NPI | 1952354391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 07228) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN278342) |
| 363L00000X Nurse Practitioner (Licence: OH COA.07228) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2024-06-26 |