| NPI | 1972971307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP18120) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 2938777) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-09-17 |