| NPI | 1255797221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH F0116522) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN. 326790) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2018-05-01 |