| NPI | 1639577026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH 16625NP) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH APRN.CNP.16625) |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2023-09-29 |