| NPI | 1780430579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0036479) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.460705) |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-09-17 |