| NPI | 1982391835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.0033310) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0033310) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0033310) | |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2024-03-21 |