| NPI | 1205329513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.022845) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.334619) |
| 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.022845) | |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2023-10-18 |