| NPI | 1033582069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.18423-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 7727) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2018-08-06 |