| NPI | 1629334719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0038514) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.289833) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2025-01-24 |