| NPI | 1124264379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.16731) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.16731-NP) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2025-01-08 |