| NPI | 1811994155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9383910) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH NP07530) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH RN201146) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH NP07530) | |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2017-02-24 |