| NPI | 1679166474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0029702) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 22752) |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2022-03-03 |