| NPI | 1023335668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA10968-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN-285618) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2018-10-03 |