| NPI | 1689815524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA10443NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN185319COA1) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2023-01-30 |