| NPI | 1710317813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.15392) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 15392) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2021-09-29 |