| NPI | 1376969204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.024052) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 393025) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2023-01-13 |