| NPI | 1376852319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNO11868) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.284444) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.11868-NP) | |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2018-04-05 |