| NPI | 1588207658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0026979) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM 58141) |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2023-12-19 |