| NPI | 1962930677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020955) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN235616) |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2020-09-11 |