| NPI | 1700552809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0029182) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 384234) |
| 163WH1000X Registered Nurse Hospice (Licence: OH 0029182) | |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2022-10-13 |