| NPI | 1316531742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028500) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 319625) |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2021-08-31 |