| NPI | 1942919972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH AAPRN.CPN.0038252) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 258410) |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2025-01-06 |