| NPI | 1386354058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN19192) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN320582) |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2024-12-05 |