| NPI | 1992777932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH RN268214-COA08862) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC APN 862) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2007-07-09 |