| NPI | 1487409942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0037861) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.477202) |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2024-10-31 |