| NPI | 1114227931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 021659) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 346546) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2017-11-09 |