| NPI | 1962954628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0031765) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: OH RN.395429) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2024-05-06 |