| NPI | 1528798261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0031806) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN.416479) |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2022-07-21 |