| NPI | 1689996274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA1145NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN166982) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2011-07-05 |