| NPI | 1427627587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.0035094) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 427812) |
| 363L00000X Nurse Practitioner (Licence: OH 0035094) | |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2024-02-19 |