| NPI | 1447503933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA. 13944-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.13944-NP) |
| Enumeration Date | 2012-10-21 |
| Last Update Date | 2018-09-25 |