| NPI | 1225313331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.12890-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.345715-COA1) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP121035) | |
| 163W00000X Registered Nurse (Licence: TX 809192) | |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2016-04-25 |