| NPI | 1801309695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.019969) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 019969) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2020-09-14 |