| NPI | 1750783882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 021353) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A070535) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2017-09-11 |