| NPI | 1184492456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.0035367) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH CNP0035367) |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2024-01-08 |