| NPI | 1780876094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2313519) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH 4144) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 368105) | |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2019-02-04 |