| NPI | 1023567880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH CNP020201) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: OH RN242940) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-11-16 |