| NPI | 1750710703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016441) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.306258-COA1) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.15225-NP) | |
| Enumeration Date | 2013-11-09 |
| Last Update Date | 2019-11-04 |