| NPI | 1497314561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 025038) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 388716) |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-07-18 |