| NPI | 1013061498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 05224) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN255841) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2021-08-10 |