| NPI | 1174196596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 0029741) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 451114) |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2021-10-04 |