| NPI | 1760766497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.16753) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN 304439) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.16753) | |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2024-01-23 |