| NPI | 1285804856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.07555) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: OH P99471) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2017-06-30 |