| NPI | 1265772347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.14309) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.14309) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2024-04-09 |