| NPI | 1740724509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020806) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.351471) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2020-11-17 |