| NPI | 1831317874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH LE-00033125) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.105775-IV) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: OH 0027350) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2024-04-23 |