| NPI | 1952959751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH CNP.0028455) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.451001) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0028455) | |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2022-11-14 |