| NPI | 1265883805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0028569) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.400407) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2021-03-29 |