| NPI | 1952989568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.NP.0029449) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 405771) |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2022-01-17 |