| NPI | 1396126314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.17339) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.17339-NP) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2023-11-03 |