| NPI | 1134309297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP-13409) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP007001B) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH NP13409) | |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2020-08-04 |