| NPI | 1295399327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.024860) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: OH RN.414549) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-08-06 |