| NPI | 1881357853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0030253) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH LE00038882) |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2022-01-05 |