| NPI | 1548884695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0026893) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.338832) |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-11-18 |