| NPI | 1659758860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.18775-NP) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: OH RN317029) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2022-08-29 |