| NPI | 1699153106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0028616) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 413068) |
| Enumeration Date | 2015-05-16 |
| Last Update Date | 2021-04-10 |