| NPI | 1225319684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: OH COA.12572-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH APRNCNP12572) |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2025-03-10 |