| NPI | 1407068877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0029607) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN390353) |
| 164W00000X Licensed Practical Nurse (Licence: OH PN116768) | |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2022-03-11 |