| NPI | 1659122653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0036010) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.409143) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH F02240355) | |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-08-21 |