| NPI | 1891709812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 132471) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH NP05955) |
| 363L00000X Nurse Practitioner (Licence: OH NP 05955) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2018-09-21 |