| NPI | 1275513004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP-06602) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH RN. 153276) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2020-02-11 |