| NPI | 1639767841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.0028487) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.352199) |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2024-03-27 |