| NPI | 1225281660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH RN131424) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA02123NP) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH RN131424) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA02123NP) | |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2008-10-29 |