| NPI | 1154020329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 003302) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH AG01230018) |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2024-06-25 |