| NPI | 1235685942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.022411) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH 022411) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 022411) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH RN.289183) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2019-11-10 |