| NPI | 1396707527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA06064 NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 245991) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2020-02-11 |