| NPI | 1619371002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0037001) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN407781) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2024-07-21 |