| NPI | 1053569350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP-10204) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 199345) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH RN199345APRNCNP10204) | |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2019-02-25 |