| NPI | 1871587808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.04944-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN211663) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2013-08-30 |