| NPI | 1366502304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH NP07882) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD5059) |
| 363L00000X Nurse Practitioner (Licence: OH RN286846) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2023-08-02 |