| NPI | 1265930432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023851) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OH 354650) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2020-03-25 |