| NPI | 1508560012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0033569) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.417998) |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-04-05 |