| NPI | 1194816934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH NP-09017) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN. 308737) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2016-10-03 |