| NPI | 1659641223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 12819-NP) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2026-05-25 |