| NPI | 1821494907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.17157) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 357899) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2024-01-18 |