| NPI | 1396579330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0037579) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.465072) |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2024-09-22 |