| NPI | 1114614591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0034037) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH RN.429715) |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2024-01-08 |