| NPI | 1952769010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.18450) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.18450-NP) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2020-03-19 |