| NPI | 1356913271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25097) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0032372) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0032372) | |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2022-12-28 |