| NPI | 1144538885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.11799-NP) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH RN.394211-COA1) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2014-08-08 |