| NPI | 1295226090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028805) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 122382) |
| 363L00000X Nurse Practitioner (Licence: CT 7761) | |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2021-10-15 |