| NPI | 1740500321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025580) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 390005) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2024-05-07 |