| NPI | 1801327945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.020422) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: OH APRN.CNP.020422) |
| 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.020422) | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2021-01-21 |