| NPI | 1710625447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0031660) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.395797) |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2023-10-23 |