| NPI | 1447635602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA 07452-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN-204029-1) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |