| NPI | 1871017038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP-020986) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP-020986) |
| 363L00000X Nurse Practitioner (Licence: OH 020986) | |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2024-05-01 |