| NPI | 1316219397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.13124) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 18736) |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2025-03-06 |