| NPI | 1770890170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.022591) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH rn364132) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2021-11-17 |