| NPI | 1205343936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH CNP.021963) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH ARNP.CNP.021963) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2020-02-25 |