| NPI | 1932686292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.023304) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.374313) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2023-02-07 |