| NPI | 1023365798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA13661NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN342859COA1) |
| Enumeration Date | 2012-08-12 |
| Last Update Date | 2014-11-21 |