| NPI | 1760820039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 023833) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 358378) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OH 023833) | |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2025-04-07 |