| NPI | 1255691069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 020503) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN. 339774) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2023-11-03 |