| NPI | 1235471178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.0030618) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.392314) |
| 164W00000X Licensed Practical Nurse (Licence: OH PN.123058-IV) | |
| 251E00000X Home Health (Licence: OH RN.392314) | |
| 251J00000X Nursing Care (Licence: OH RN.392314) | |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2022-02-13 |