| NPI | 1417665563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.NP.0032660) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH 00042619) |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2022-11-16 |