| NPI | 1497105886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.020796) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: OH RN.378691) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2021-08-19 |