| NPI | 1124554258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0026846) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.306332) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2021-12-09 |