| NPI | 1396704763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP00603) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN150849) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2010-05-24 |