| NPI | 1245225184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH NP6451) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH NP6451) |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2021-03-08 |