| NPI | 1033395272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: OH NP-17559) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R170818) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2018-04-09 |