| NPI | 1780689158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.06917) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.233997) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2024-02-15 |