| NPI | 1679260053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0036643) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.451676) |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2024-06-12 |