| NPI | 1205506318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0029743) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F06212385) |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2023-11-03 |