| NPI | 1326357369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: OH COA.11846-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN219563-COA1) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2011-10-22 |