| NPI | 1215204235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0033760) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 629301) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 19338) | |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2024-01-22 |