| NPI | 1245280957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH RN183808) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN183808) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2013-04-16 |