| NPI | 1841967288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0031164) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 355746) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH F04220106) | |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2024-01-16 |