| NPI | 1588202048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0035539) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 411105) |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2024-05-07 |