| NPI | 1912126897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA19041) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.373630) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2016-08-17 |