| NPI | 1144919747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0033738) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 0033738) |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-07-12 |