| NPI | 1417916214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN 266509) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA 10402-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH NP 10402) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2023-03-07 |