| NPI | 1487055620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.0027993) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.479870) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2021-01-09 |