| NPI | 1154633865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.13998-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11002363) |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2022-10-17 |