| NPI | 1285032201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.026506) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 026506) |
| 163W00000X Registered Nurse (Licence: OH RN404818) | |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2021-04-20 |