| NPI | 1528023025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH RN265234) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 07204) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2009-09-14 |