| NPI | 1013232636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH F06212488) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.351621) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2022-07-08 |