| NPI | 1376080291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5013774) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.381762) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.020477) | |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2020-11-24 |