| NPI | 1417663584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 0032567) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 386088) |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-01-23 |