| NPI | 1831125707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA 07197) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN259558) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2014-10-14 |