| NPI | 1063662955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9360777) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA, 10282-NP) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2022-06-02 |