| NPI | 1164051231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0028060) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.458577) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2023-04-12 |