| NPI | 1366088981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 0033586) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 459282) |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2023-10-21 |