| NPI | 1790940856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.05353) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 287239) |
| 163W00000X Registered Nurse (Licence: CA 530276) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH NP05353) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 12151) | |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2018-11-07 |