| NPI | 1437737566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028617) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.443547) |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2021-03-30 |