| NPI | 1245737121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH CNP.025728) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MD R159933) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R159933) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025728) | |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2021-01-13 |