| NPI | 1558983700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.0026760) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: OH RN.423007) |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2022-06-13 |