| NPI | 1366690752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH RN294248) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 10003) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2009-06-08 |