| NPI | 1235318601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH NP-09573) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 19138) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2012-04-16 |