| NPI | 1316349665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.15618) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: OH RN249642) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.15618-NP) | |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2023-11-03 |