| NPI | 1851931653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.026233) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN.404640) |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2021-08-30 |