| NPI | 1710642566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRNCNP0035413) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN49183) |
| Enumeration Date | 2021-11-06 |
| Last Update Date | 2024-06-17 |