| NPI | 1568437648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH COA.15966-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN289586) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2014-12-29 |