| NPI | 1982025466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH 0031679) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 395178) |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2024-05-16 |