| NPI | 1003225327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024046) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 264706) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2024-10-04 |