| NPI | 1851588602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.14854-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RX.14854-EX1) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH RN.317610-COA1) | |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2017-12-13 |