| NPI | 1588377857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0032891) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.452124) |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2023-01-03 |