| NPI | 1760785760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA. 18424-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN352692) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2020-04-13 |