| NPI | 1629220439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH NP-10292) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: OH NS-08303) |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2008-10-13 |