| NPI | 1124888706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.0036526) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.518748) |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-07-16 |