| NPI | 1184651465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH NP-06660) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH NP-0660) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2018-09-11 |