| NPI | 1992229850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.021186) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OH APRN.CNP.021186) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2019-04-18 |