| NPI | 1336673912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0038368) |
| Additional Taxonomies | 374T00000X Religious Nonmedical Nursing Personnel (Licence: OH 163221) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2024-12-30 |