| NPI | 1972863702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.019851) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: OH COA 11563-NS) |
| Enumeration Date | 2012-05-27 |
| Last Update Date | 2017-12-01 |