| NPI | 1841613791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.15154) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA 15154) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2023-05-11 |