| NPI | 1174858021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020524) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.326111) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2021-05-26 |