| NPI | 1396165478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.16113) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: OH RN.346103) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2024-01-23 |