| NPI | 1023713989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.0034546) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.501071) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: OH RN.501071) | |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2024-04-30 |