| NPI | 1841765427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.026414) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.356092) |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2020-03-01 |