| NPI | 1952686727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP-17802) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 350664) |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2016-05-31 |