| NPI | 1205277795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA 14955-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN 337186) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2016-03-02 |