| NPI | 1962919357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0032866) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP020130) |
| Enumeration Date | 2018-01-07 |
| Last Update Date | 2022-12-19 |