| NPI | 1629658026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028765) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F11200480) |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2023-12-02 |