| NPI | 1376783308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: OH APRN.CNP) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: OH RN310641) |
| 363LF0000X Nurse Practitioner Family (Licence: OH CNP.025910) | |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2024-07-27 |