| NPI | 1609465616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0028110) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH APRN.CNP.0028110) |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2024-10-14 |