| NPI | 1376853630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP11596) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: OH COA11596-NP) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2020-09-10 |