| NPI | 1114477437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH F1016331) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 289460) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-12-20 |