| NPI | 1548225873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.07397) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 1102028) |
| 363L00000X Nurse Practitioner (Licence: OH 07397-NP) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2021-04-19 |