| NPI | 1013940733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.07846) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.07845-NP) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2017-11-27 |