| NPI | 1891045209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 318633) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.13635) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2021-05-03 |