| NPI | 1386107134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 024553) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH LE-00027891) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2024-02-29 |