| NPI | 1841788163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.022965) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.372477) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.022965) | |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2019-08-28 |