| NPI | 1124733498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0033061) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRNCNP0033061) |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2023-02-28 |