| NPI | 1144513151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 14802) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: OH 319413) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: OH 319413) | |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2022-07-21 |