| NPI | 1124790274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH Aprn.cnp.0029027) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0029027) |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2024-01-03 |