| NPI | 1154608198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.12878-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R211062) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2016-09-15 |