| NPI | 1700997822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 05693) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.181397-COA1) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-01-22 |