| NPI | 1962933846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.021039) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.403552) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2024-05-16 |