| NPI | 1992410468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.0033090) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OH RN.463288) |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-01-25 |