| NPI | 1679712830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP10393) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN329962) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2014-01-13 |