| NPI | 1346653045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 16576-NP) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH RN338759) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-12-30 |