| NPI | 1548425069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 17989-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN331146) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2016-03-01 |