| NPI | 1114917085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.08439) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 1107655 / 4640P) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2018-10-11 |