| NPI | 1750128591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0037173) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 258553) |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2024-07-30 |