| NPI | 1962056226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028428) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 380229) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2021-12-26 |