| NPI | 1558682500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.11867-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN185461) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2021-12-17 |