| NPI | 1326289075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.024350) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.06479-NP) |
| 163W00000X Registered Nurse (Licence: OH RN275530) | |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2023-07-14 |