| NPI | 1437719218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025643) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH RN.349252) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2020-12-31 |