| NPI | 1790132884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 019695-CNP) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH RN.410616) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-10-11 |