| NPI | 1871290684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.0033182) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: OH APRN.CNP.0033182) |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-03-24 |