| NPI | 1912425786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.021558) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.341259) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2021-06-29 |