| NPI | 1174223887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: OH APRN.CNP.0034388) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 4497) |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2023-12-27 |