| NPI | 1689602302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP-08864) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN-302572) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2008-07-22 |