| NPI | 1609345529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.02432) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: OH RN.404412) |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2022-01-06 |