| NPI | 1922307099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.025796) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN304994) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP025796) | |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2023-10-20 |