| NPI | 1881309623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.0033022) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.439927) |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2023-06-01 |