| NPI | 1801297601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 0029861) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.364674) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2022-03-25 |