| NPI | 1477851848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.14697) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP011251) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2016-11-02 |