| NPI | 1255582052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.10223) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH coa10223np) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2023-07-21 |