| NPI | 1538302294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.019993) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN 311107) |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2016-11-21 |