| NPI | 1346819190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0029444) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN.426654) |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2021-08-05 |