| NPI | 1730962119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0034644) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH APRN.CNP.0034644) |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-11-17 |