| NPI | 1457502502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 1457502502) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN330349) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2016-09-07 |