| NPI | 1639641640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: OH 024069) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 024069) |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2023-10-18 |