| NPI | 1902995723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.15696-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 200785) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 200785) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2016-03-22 |