| NPI | 1356108690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0034461) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH APRN.CNP.0034461) |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-05-16 |