| NPI | 1013260421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: OH COA.14058-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH F0912131) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2015-07-10 |