| NPI | 1760660211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 11428-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN. 306942) |
| 363L00000X Nurse Practitioner (Licence: OH 11428NP) | |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2015-12-11 |