| NPI | 1922154228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 15123-NP) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OH 318644) |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2013-09-15 |