| NPI | 1013599000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0029771) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.440763) |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2021-12-17 |