| NPI | 1275786048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA10232-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.10232-NP) |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2012-07-16 |