| NPI | 1861649584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA10174) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R170636) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2010-05-24 |