| NPI | 1700312766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APR.CNP.021952) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.021952) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2025-04-16 |