| NPI | 1245907468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0029522) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.426345) |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2021-09-20 |