| NPI | 1598186561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0032448) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.431184) |
| 164W00000X Licensed Practical Nurse (Licence: OH PN.151311-M-IV) | |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2022-11-28 |