| NPI | 1063929701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRNCNP024279) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.370082) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2019-06-03 |