| NPI | 1144539362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH F06192832) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN339885) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2023-04-14 |