| NPI | 1417282344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.021594) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN284365) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2017-09-13 |