| NPI | 1861027781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 0039630) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 170610) |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2025-07-03 |