| NPI | 1497525364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0036672) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 499689) |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2024-06-12 |