| NPI | 1518275361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH NP11804) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN256634) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2023-11-03 |