| NPI | 1144674854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.19231-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.354137) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-06-15 |