| NPI | 1376946319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.-16648-NP) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH 16648-NP) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2016-07-06 |