| NPI | 1396839866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 08603-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN179095) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2015-11-25 |