| NPI | 1063673762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.17299) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN318652) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2024-04-30 |