| NPI | 1730612755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.022508) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.383882) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2021-10-22 |