| NPI | 1942790837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 00022942) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 366366) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |