| NPI | 1114968344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.03795.NA) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA03795NP) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2016-04-26 |