| NPI | 1962926717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH ARNP.CNP.021246) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.347224) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |