| NPI | 1114993003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA01300NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN-135221) |
| 163W00000X Registered Nurse (Licence: OH 135221) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2015-10-08 |