| NPI | 1770854440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.19133-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.350060) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2023-10-24 |