| NPI | 1376858332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 11722) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA 11722 NP) |
| Enumeration Date | 2010-08-15 |
| Last Update Date | 2018-03-09 |