| NPI | 1902475452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.0037940) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.339965) |
| Enumeration Date | 2021-06-20 |
| Last Update Date | 2024-11-11 |