| NPI | 1861949083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020007) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.413781) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH F0516542) | |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2024-08-13 |