| NPI | 1760130975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0030976) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.448228) |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2022-03-16 |