| NPI | 1780838714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH NP10131) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH NP10131) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH NP10131) | |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2025-08-21 |