| NPI | 1215445507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022404) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-01-20 |
| Last Update Date | 2024-02-14 |