| NPI | 1033496492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP-16520) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: OH 322459) |
| Enumeration Date | 2011-11-12 |
| Last Update Date | 2015-05-05 |