| NPI | 1982175337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.025359) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R234804) |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2019-09-17 |