| NPI | 1164875415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 019671) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 355882) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-08-15 |