| NPI | 1386315646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH CNP.0029832) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 438550) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0029832) | |
| Enumeration Date | 2021-09-25 |
| Last Update Date | 2022-01-25 |