| NPI | 1669207528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0036994) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0036994) |
| Enumeration Date | 2024-09-02 |
| Last Update Date | 2024-10-13 |