| NPI | 1174229298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0033172) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.414890) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH F01230939) | |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-01-31 |