| NPI | 1982944211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028024) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 152002) |
| Enumeration Date | 2013-02-23 |
| Last Update Date | 2020-11-16 |