| NPI | 1174174627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025721) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F09191550) |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2025-02-04 |