| NPI | 1902950249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.14431) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN249866) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH RN.249866-COA1) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-04-30 |