| NPI | 1295199198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA 18627 NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN 357309 1) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |