| NPI | 1912933847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 05915) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN247939) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL arnp9427224) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2016-11-18 |