| NPI | 1902442445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0028182) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.458466) |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2023-12-08 |