| NPI | 1861723827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH CNP.0028057) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN351329) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2020-11-19 |