| NPI | 1497419626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 0035261) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 529290) |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2023-11-09 |