| NPI | 1861784829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH Coa18362) |
| Additional Taxonomies | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: OH RN270099) |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2021-11-15 |