| NPI | 1558513150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 022923) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 327060) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2018-10-05 |