| NPI | 1184060097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.14895-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.306591) |
| Enumeration Date | 2013-05-18 |
| Last Update Date | 2013-08-20 |