| NPI | 1255977963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.024770) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: OH APRN.CNS.13600) |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2019-11-18 |