| NPI | 1942399670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0032252) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN 292060) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2023-02-20 |