| NPI | 1184934341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA12895-NP) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: OH RN.132275-COA2) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2014-08-08 |