| NPI | 1831795137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028470) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F11200747) |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2024-06-05 |