| NPI | 1255868162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.020713) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 020713) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2018-02-02 |