| NPI | 1669787461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP11628) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.285233) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2019-08-14 |