| NPI | 1518210475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 022210) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN-362743) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2023-09-24 |