| NPI | 1275159055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH Aprn.cnp.0032018) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: OH RN.350995) |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2023-02-15 |