| NPI | 1487982468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025143) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 117526) |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2024-10-10 |