| NPI | 1275707739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.09999-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN-231108) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2024-08-20 |