| NPI | 1467839985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRNCNP17930) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 335139) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2020-01-23 |