| NPI | 1205172657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.14324-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.383841-) |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2017-08-16 |