| NPI | 1275880080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.18559) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH APRN.CNP.18559) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F337089-1) | |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2022-11-17 |