| NPI | 1790463099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0034304) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH RN.433192) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.0034304) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.0034304) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.0034304) | |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2023-07-06 |