| NPI | 1801326434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 020887) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 390798) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-10-13 |