| NPI | 1811411846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH F0117038) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH 349969) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2018-04-18 |