| NPI | 1033555644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.14672-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 358718) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2024-01-16 |