| NPI | 1265491401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9296784) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 09890) |
| 163W00000X Registered Nurse (Licence: OH RN-225610) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2009-10-22 |