| NPI | 1194106427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.020641) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.352236) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2019-02-15 |