| NPI | 1285075655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA 14546) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 14546) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2018-03-17 |