| NPI | 1497090443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.13905) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201403299NP-PP) |
| 163W00000X Registered Nurse (Licence: OH RN.370017) | |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2018-09-13 |