| NPI | 1831504943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH NP16079) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: OH NP16079) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2016-09-09 |