| NPI | 1831961440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0034547) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.485038) |
| Enumeration Date | 2023-10-26 |
| Last Update Date | 2023-10-26 |