| NPI | 1518154327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.09182-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP009275) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2016-04-27 |