| NPI | 1578229670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0031416) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH rn45096) |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2023-01-20 |