| NPI | 1003369729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.019642) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 329386) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-08-08 |