| NPI | 1700553641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0029774) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0029774) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.0029774) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0029774) | |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2025-11-24 |