| NPI | 1174952204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.15340) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 15340) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2016-08-31 |