| NPI | 1770767972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.245603) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH rn245603) |
| 163W00000X Registered Nurse (Licence: OH RN.245603) | |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2022-04-19 |