| NPI | 1144758830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRNCNP021404) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 379886) |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2022-07-21 |