| NPI | 1851948616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0035183) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN387443) |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2023-12-12 |