| NPI | 1962256800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.0036628) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: OH RN.450540) |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-09-03 |