| NPI | 1326672718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: OH APRN.CNP.025411) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.411188) |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2024-01-16 |