| NPI | 1942902192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0034351) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.448625) |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2024-07-30 |