| NPI | 1891243150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: OH APRN.CNS 019310) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN.291242) |
| 364SN0800X Clinical Nurse Specialist Neuroscience (Licence: OH APRN.CNS 019310) | |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2017-02-02 |