| NPI | 1124737895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH LE-00044330) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95084373) |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2023-07-19 |