| NPI | 1952965386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0034041) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.424404) |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2024-03-25 |