| NPI | 1730469495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH 12454NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH COA.12454NP) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2012-12-06 |