| NPI | 1336454107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA11827) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 311265) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2015-06-04 |