| NPI | 1174984991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0035507) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH F07230180) |
| 163W00000X Registered Nurse (Licence: NY 709597) | |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2023-12-12 |