| NPI | 1235222373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA UP006352B) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.11669-np) |
| 163W00000X Registered Nurse (Licence: OH RN.362377-COA1) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH RX.11669-) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2011-03-18 |