| NPI | 1972120129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0028023) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN.426625) |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-12-07 |