| NPI | 1699074252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH 0030951) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.386555) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2022-03-11 |