| NPI | 1689213654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: OH APRN.CNP.025507) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: OH APRN.CNP.025507) |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2019-12-23 |