| NPI | 1699324228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0030124) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0030124) |
| 363LS0200X Nurse Practitioner, School (Licence: OH RN.412791) | |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2021-12-13 |