| NPI | 1235575390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA14596NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.14596-NP) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2016-05-18 |