| NPI | 1093994188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.14404-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 266657) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2017-03-08 |