| NPI | 1215238837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025013) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH rn.364565) |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2023-01-23 |