| NPI | 1083093975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.17952-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 9504896) |
| Enumeration Date | 2015-05-25 |
| Last Update Date | 2020-02-26 |