| NPI | 1851958623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024801) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.4473074) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-08-28 |