| NPI | 1124082540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.05064) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH rn211877) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2018-03-17 |