| NPI | 1528713559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.0030807) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.454822) |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2022-02-17 |