| NPI | 1831546472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0029316) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 364055) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2021-07-29 |