| NPI | 1841834835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.026027) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.401132) |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2020-09-17 |