| NPI | 1992350953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025553) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: OH 361623) |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-08-29 |