| NPI | 1558651323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 00025779) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH 023774) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2020-02-21 |