| NPI | 1568179760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0031603) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: OH RN.430261) |
| Enumeration Date | 2022-10-28 |
| Last Update Date | 2023-02-23 |