| NPI | 1740628650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA14862NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.315561) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2019-06-18 |