| NPI | 1164865341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.18106) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: OH APRN.CNS.14402) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2020-12-04 |