| NPI | 1659966042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.0028441) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 0028441) |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2023-11-21 |