| NPI | 1306387212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.020774) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 22261) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2022-07-21 |