| NPI | 1841601721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN-CNP-0030372) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN151540-M-IV) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2022-03-10 |