| NPI | 1841571031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.12876-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN.312506) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2014-10-24 |