| NPI | 1972877843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0029019) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN361073) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2022-02-11 |