| NPI | 1497510341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0036900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.302355) |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-07-26 |