| NPI | 1093800146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP08496) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 08496) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2021-02-26 |