| NPI | 1568913614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 020132) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH LE-00005120) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2023-09-06 |