| NPI | 1922643618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: OH APRN.CNP.025729) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH APRN.CNP.025729) |
| 207RH0005X Internal Medicine, Hypertension Specialist (Licence: OH APRN.CNP.025729) | |
| Enumeration Date | 2019-11-17 |
| Last Update Date | 2019-11-17 |