| NPI | 1851530299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0029126) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.128659-IV) |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2024-10-13 |