| NPI | 1255620993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 020867) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 354249) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH aprn.cnp.020867) | |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2022-12-29 |