| NPI | 1972010585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 113091) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.428642) |
| 163W00000X Registered Nurse (Licence: NE 90514) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022145) | |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2020-10-22 |