| NPI | 1851769764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.18141) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.18141) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2023-10-12 |