| NPI | 1851672828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.12747-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN265372) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2024-03-11 |