| NPI | 1124762257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.0031473) |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: OH 423607) |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-10-04 |