| NPI | 1316293822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 13711) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN341177) |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2012-09-13 |