| NPI | 1710541198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.0035295) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 268217) |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2024-02-21 |