| NPI | 1235836610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 0031911) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 406485) |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-02-15 |