| NPI | 1396048229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.023498) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH AG07180272) |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2024-12-05 |