| NPI | 1982755393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5021811) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH pn 118567) |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2025-08-19 |