| NPI | 1871839191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.14083) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 201435) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2022-06-30 |