| NPI | 1457801680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.019957) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.019957) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2022-05-06 |