| NPI | 1851543482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0034021) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN310985) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2023-06-13 |