| NPI | 1073889101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.13260-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN222748) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2022-07-12 |