| NPI | 1194037341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028984) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN356454) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH aprn.cnp.0028984) | |
| Enumeration Date | 2010-07-04 |
| Last Update Date | 2022-07-15 |