| NPI | 1447589528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.09554) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH NP09554) |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2020-06-12 |