| NPI | 1306041132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 16452) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 16452) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.16452) | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2016-09-26 |