| NPI | 1881399111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0033047) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0033047) |
| 163W00000X Registered Nurse (Licence: OH RN.469486) | |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-04-11 |