| NPI | 1265835102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH NP16567) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 16567) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2019-10-14 |