| NPI | 1922415264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH RN 284021-COA1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA 16276-NP) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-07-18 |