| NPI | 1053399758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.08005NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.1600193-COA1) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2019-02-25 |