| NPI | 1447234190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRNCNP022600) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 6321) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 6321) | |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2018-07-26 |