| NPI | 1265054639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: OH APRN.CNP.026058) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.026058) |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-06-08 |