| NPI | 1902333008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH ARNP.CNP.020865) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 020865) |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2022-08-11 |