| NPI | 1710438510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN CNP 019754) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.395372) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2018-03-12 |