| NPI | 1194375386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH CNP.026053) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH 388947) |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2020-01-15 |