| NPI | 1144260035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.04386) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.166532) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2023-08-04 |