| NPI | 1922410687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.16358) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 357702) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 16358) | |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2023-08-30 |