| NPI | 1215302062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.18777-NP) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OH RN.370834) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2016-02-11 |