| NPI | 1346433810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.09523) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN293009NP09523) |
| Enumeration Date | 2007-08-19 |
| Last Update Date | 2024-11-05 |