| NPI | 1467933671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.036366) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.341978) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: OH APRN.CNP.025255) | |
| Enumeration Date | 2018-08-25 |
| Last Update Date | 2021-07-27 |