| NPI | 1730698648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.021997) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OH 393993) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.021997) | |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2021-01-12 |