| NPI | 1154699643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.0034221) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 411361) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2024-07-15 |