| NPI | 1114684800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0030310) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OH 400204) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH F10210380) | |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2024-02-27 |