| NPI | 1972091957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.022956) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.434486) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-08-29 |