| NPI | 1295823482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.01624) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH NP1624) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2021-11-04 |