| NPI | 1841784089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023735) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH SN.337952) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2022-08-29 |