| NPI | 1790264489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.025238) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH rn.353893) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2019-10-22 |