| NPI | 1306047022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP-09897) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH rn. 295742) |
| 163WH0200X Registered Nurse, Home Health (Licence: OH rn. 295742) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2024-09-30 |