| NPI | 1699082198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.11739) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.11739) |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2022-05-25 |