| NPI | 1811922024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.04615) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN162141) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-12-29 |