| NPI | 1336480953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0038107) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN387726) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2024-11-19 |