| NPI | 1396008157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0027646) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 371808) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2023-08-23 |