| NPI | 1639525389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 019742-CNP) |
| Additional Taxonomies | 284300000X Special Hospital (Licence: OH RN.325032) |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2016-10-11 |