| NPI | 1033424148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH RN275748- COA1) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH NP-11608) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2019-11-04 |