| NPI | 1073510079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH RN161261) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH NP04678) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2012-02-08 |