| NPI | 1467919696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0032071) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: OH SH036143) |
| Enumeration Date | 2019-02-24 |
| Last Update Date | 2023-01-02 |