| NPI | 1184134561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH CNP.021864) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH RN.402444) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2017-10-12 |