| NPI | 1427480821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 14440-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN301430) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |