| NPI | 1013296599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.12480-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.290411-COA1) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2011-08-15 |