| NPI | 1780139360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.019759) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN262462) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2023-08-11 |