| NPI | 1225524101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRNCNP023363) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.434316) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-08-13 |