| NPI | 1306170923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH RN 315385) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.10993-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH RX.10993-EX1) | |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2019-12-12 |