| NPI | 1063003077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028330) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.308675) |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2023-08-04 |