| NPI | 1992202691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023211) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: OH RN.268857) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2023-10-11 |