| NPI | 1083300891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0033574) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: OH APRN.CNP.0033574) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: OH APRN.CNP.0033574) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: OH APRN.CNP.0033574) | |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-04-14 |