| NPI | 1417194903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH CNP.10480) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN 259661) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2018-05-31 |