| NPI | 1881135218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.019839) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.379699) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.019839) | |
| Enumeration Date | 2017-03-18 |
| Last Update Date | 2023-07-25 |