| NPI | 1609370378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 022529) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH 022529) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2020-06-26 |