| NPI | 1669878534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.16726) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA-16726-NP) |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2021-10-01 |