| NPI | 1245436252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA08811NP) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: OH RN.314438) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2015-10-06 |