| NPI | 1124571542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0029748) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH rn 411514) |
| 363A00000X Physician Assistant (Licence: OH 50.006298RX) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH CNP0029748) | |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2023-12-20 |