| NPI | 1093463275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0031003) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 2022001379) |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2022-04-15 |