| NPI | 1881993707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN. 333897) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA. 12300-NP) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-04-20 |