| NPI | 1790144384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP18857) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.358576-) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2021-01-12 |