| NPI | 1750912424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.026300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 372040) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.026300) | |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2021-05-19 |