| NPI | 1871089771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.022459) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH 02249) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2023-10-30 |