| NPI | 1154319184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP-07814) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN-235181) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2012-11-15 |