| NPI | 1144777350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020450) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 350792) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2022-02-22 |