| NPI | 1851632921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 021171) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 385184) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH LE-00020251) | |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2022-07-21 |