| NPI | 1316103666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 021875) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 315423) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2022-10-26 |