| NPI | 1831565993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.026011) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.406487) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.26011) | |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2024-08-06 |