| NPI | 1760082697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0027938) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0027938) |
| 163W00000X Registered Nurse (Licence: OH 384137) | |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2021-01-28 |