| NPI | 1245218841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.08398-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.301696-COA1) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2018-06-22 |