| NPI | 1003662479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0038195) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.438218) |
| Enumeration Date | 2024-04-26 |
| Last Update Date | 2024-12-23 |