| NPI | 1710163399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 09830NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 215708) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2009-11-17 |