| NPI | 1992524102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 0037804) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.444929) |
| Enumeration Date | 2024-10-04 |
| Last Update Date | 2024-10-15 |