| NPI | 1871045633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0036503) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 395537) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2024-06-11 |