| NPI | 1023076569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 091742) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH NP-00116) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2025-09-11 |