| NPI | 1194924050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.025928) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 302994) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2024-06-04 |