| NPI | 1700205820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 0038768) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 300003) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2025-05-06 |