| NPI | 1568135275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0028831) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH 0028831) |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2023-09-11 |