| NPI | 1760154702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0028860) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.002886P) |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2023-07-18 |