| NPI | 1700131984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022936) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 379666) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2022-04-18 |