| NPI | 1407428782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0032775) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: OH RN.444959) |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2024-04-17 |