| NPI | 1821286634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP-07941) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN267066) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |