| NPI | 1013668565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH F01220843) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.429442) |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2022-05-03 |