| NPI | 1457495038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.04729) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH NP 04729) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2016-09-20 |