| NPI | 1851369458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH NP083089) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 161468) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2022-10-15 |