| NPI | 1063037828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.027128) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.413742) |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2025-04-04 |