| NPI | 1609000454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.17025) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN332536) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.17025-NP) | |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2022-04-13 |