| NPI | 1174876908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.13592) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: OH RN.303167-COA1) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2024-10-11 |