| NPI | 1144533159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA11619NP) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH COA 11619-NP) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2022-07-21 |