| NPI | 1740940527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0030517) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.390807) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH LE-00038049) | |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2022-02-03 |