| NPI | 1104224542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.18792-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 264515) |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2023-02-28 |