| NPI | 1417250267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.11713) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.11713-NP) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2017-01-25 |