| NPI | 1750374930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 04255NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN267398) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2010-02-02 |