| NPI | 1881239994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.0026959) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH 0026959) |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2021-09-20 |