| NPI | 1538480462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 11540NP) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH 11540NP) |
| 163W00000X Registered Nurse (Licence: OH RN313408) | |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2019-02-01 |