| NPI | 1952857609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0030656) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 435584) |
| 163W00000X Registered Nurse (Licence: OH RN.435584) | |
| 164W00000X Licensed Practical Nurse (Licence: OH LPN.159098.MEDS-IV) | |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2023-01-20 |