| NPI | 1346659125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.16220) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.16220) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.16220-NP) | |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2021-01-26 |