| NPI | 1619529922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.024879) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.354664) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2024-04-01 |