| NPI | 1952530875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.10815) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 319175) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2019-07-26 |