| NPI | 1194076562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 13927-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.345732) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2016-03-25 |