| NPI | 1063602464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028030) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.334939-) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN274597) | |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2024-10-12 |