| NPI | 1376931535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OH APRN.CNP.16918) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.16918) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2024-12-23 |