| NPI | 1073914305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.16485) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.16485) |
| 363L00000X Nurse Practitioner (Licence: OH RN.344353) | |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2024-05-22 |