| NPI | 1316496672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020013) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: OH RN.352332) |
| 163WX1500X Registered Nurse, Ostomy Care (Licence: OH RN.352332) | |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2020-04-22 |