| NPI | 1992232938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH 020460) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F0117101) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2017-05-22 |