| NPI | 1760099055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0027659) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH APRN.CNP.0027659) |
| 207N00000X Dermatology (Licence: OH APRN.CNP.0027659) | |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2021-03-18 |