| NPI | 1497251896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.023208) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.335179) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2024-08-21 |