| NPI | 1902545080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0031617) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: OH RN.408903) |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2022-07-07 |