| NPI | 1013919554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH RN 110530) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH NP 04647) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: OH RN 110530) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: OH NP04647) | |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2007-11-23 |