| NPI | 1467742825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 18254) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 178610) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2024-03-05 |