| NPI | 1245612746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: OH 0037894) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 414747) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2025-04-04 |