| NPI | 1255457966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.15780) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: OH COA.01874-NS) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2019-12-10 |