| NPI | 1831943851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0036697) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH RN.518239) |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-07-15 |