| NPI | 1235915679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0033403) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0033403) |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2023-10-17 |