| NPI | 1134870660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH ARNP.CNP.0030555) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: OH APRN.CNP.0030555) |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2022-04-28 |