| NPI | 1720731631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 2021160494) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0030774) |
| 163WA2000X Registered Nurse, Administrator (Licence: OH 363266) | |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2022-02-17 |