| NPI | 1801480363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH aprn.cnp.0029662) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH aprn.cnp.0029662) |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2023-04-14 |