| NPI | 1588217319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0037125) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0037125) |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: OH RN.417218) | |
| Enumeration Date | 2019-07-21 |
| Last Update Date | 2024-10-31 |