| NPI | 1104455344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.026548) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: OH APRN.CNP.026548) |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2023-10-19 |