| NPI | 1881721561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH CNP-10468) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN225146) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2015-07-20 |