| NPI | 1952306318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA07581NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 07581NP) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2010-03-02 |