| NPI | 1316405707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.024383) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.351344) |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2020-03-01 |