| NPI | 1487194353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 020625) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH F02170472) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2020-03-09 |