| NPI | 1477166338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0027297) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.417228) |
| 363L00000X Nurse Practitioner (Licence: NY 310259) | |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2022-12-20 |