| NPI | 1083743819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA13240) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: OH 315568) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2017-08-07 |