| NPI | 1003059031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH CNP-00289065) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.378342) |
| 363L00000X Nurse Practitioner (Licence: OH CNP.0028965) | |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2023-11-06 |