| NPI | 1124168026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP07854) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH NP07854) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2017-07-24 |