| NPI | 1871264523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0029685) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OH RN.430776) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2021-09-24 |