| NPI | 1831516335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.15712-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.273683-COA1) |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2014-05-15 |