| NPI | 1124038385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA 01288) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 019744021) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2013-02-12 |