| NPI | 1144666066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.06052) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: OH COA06052-NS) |
| Enumeration Date | 2013-05-18 |
| Last Update Date | 2019-01-29 |