| NPI | 1083206551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028363) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0028363) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.0028363) | |
| Enumeration Date | 2021-02-06 |
| Last Update Date | 2021-03-03 |