| NPI | 1275510836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.12518-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9236898) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R157670) | |
| 163W00000X Registered Nurse (Licence: OH RN308764) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9301843) | |
| 363L00000X Nurse Practitioner (Licence: OH COA.12518-NP) | |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2014-09-04 |