| NPI | 1679031314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0030050) |
| Additional Taxonomies | 163WN0800X Registered Nurse Neuroscience (Licence: OH RN388578) |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2023-11-03 |