| NPI | 1386265379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0027196) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 413428) |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-10-08 |