| NPI | 1295177277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 843595) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.303331-COA1) |
| 363LF0000X Nurse Practitioner Family (Licence: OH COA.14498-NP) | |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2014-06-13 |