| NPI | 1306099452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.026547) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.327604) |
| Enumeration Date | 2008-11-02 |
| Last Update Date | 2020-07-01 |