| NPI | 1285709303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH RN271408) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH NP05776) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2021-12-27 |