| NPI | 1538581582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.14581) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.14581-NP) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2022-11-14 |