| NPI | 1225355431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.17425-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN341517) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95002547) | |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2024-07-25 |