| NPI | 1013467687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.020181) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH aprn.cnp.020181) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2023-11-13 |