| NPI | 1063989051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.025376) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.390500) |
| Enumeration Date | 2018-10-27 |
| Last Update Date | 2021-08-18 |