| NPI | 1497197396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.14850-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.355713-COA1) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |