| NPI | 1790834265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP07385) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN-214610) |
| 363L00000X Nurse Practitioner (Licence: OH NP07385) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2013-11-13 |