| NPI | 1013669282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0032828) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.467580) |
| 163W00000X Registered Nurse (Licence: PA RN648284) | |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2023-01-23 |