| NPI | 1003327248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 021677) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 272168) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2017-10-16 |