| NPI | 1578948824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.17696) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.313899) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2022-03-23 |