| NPI | 1407599343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0031399) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.485476) |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2022-06-13 |