| NPI | 1366753345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 15353) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 350181) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2014-08-27 |