| NPI | 1326797671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.0032200) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.485198) |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2023-01-19 |