| NPI | 1760901169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020880) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.384874) |
| Enumeration Date | 2017-09-17 |
| Last Update Date | 2020-01-28 |