| NPI | 1174366793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 1169875) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 1169875) |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2025-01-27 |