| NPI | 1134452766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.14430) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: OH NS-05831) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2019-01-07 |