| NPI | 1124885330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 0035986) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN285749) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0035986) | |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-08-21 |