| NPI | 1790534337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 36212) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.411332) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0036059) | |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-05-15 |