| NPI | 1750619664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH Aprn.cnp.023049) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH rn.373719) |
| 164W00000X Licensed Practical Nurse (Licence: OH PN-134887-IV) | |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2018-09-19 |