| NPI | 1669037925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.025829) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95137198) |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-11-27 |