| NPI | 1790296432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.021742) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.404175) |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2024-03-08 |