| NPI | 1316277734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH COA.11238-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH 11238) |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2024-02-09 |