| NPI | 1851676084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRNCNP12701) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRNCNP12701) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.12701-NP) | |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2019-10-25 |