| NPI | 1457623951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9464255) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.13010-NP) |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2020-02-25 |