| NPI | 1710334529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 025784) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 370672) |
| Enumeration Date | 2016-05-22 |
| Last Update Date | 2019-11-04 |