| NPI | 1588372858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0032644) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.451195) |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2022-11-09 |