| NPI | 1831725126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 0033233) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 464596) |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2023-05-18 |