| NPI | 1760885453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN354477) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3016937) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025983) | |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2022-01-13 |