| NPI | 1679148795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OH APRN.CNP.0028652) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 320636) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0028652) | |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2022-12-15 |