| NPI | 1447557400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020137) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN302113) |
| Enumeration Date | 2011-02-27 |
| Last Update Date | 2018-05-18 |