| NPI | 1740820091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.26186) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH RN.387228) |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |