| NPI | 1396526588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0034813) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 0034813) |
| 163W00000X Registered Nurse (Licence: OH RN.428609) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0034813) | |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2023-10-18 |