| NPI | 1649834847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.022883) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.395978) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |