| NPI | 1760848642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.18505) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.18505) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.18505) | |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2023-02-15 |