| NPI | 1669902565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.021206) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OH 358827) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.021206) | |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2018-09-26 |