| NPI | 1093967580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9396296) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN284478) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 10356-NP) | |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2023-03-07 |