| NPI | 1932562279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.025766) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.411377) |
| 183700000X Pharmacy Technician (Licence: OH 620107010375694) | |
| 363L00000X Nurse Practitioner (Licence: OH LE-00029738) | |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2019-10-27 |