| NPI | 1811470339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023802) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH 361573) |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-10-17 |