| NPI | 1265989016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.019843) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: OH APRN.CNP.019843) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2023-12-11 |