| NPI | 1790172245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 020539) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN297936) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2019-11-14 |