| NPI | 1740734466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.019682) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH .019682) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2021-04-15 |