| NPI | 1255660163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.11160-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.312944-COA1) |
| Enumeration Date | 2009-12-24 |
| Last Update Date | 2014-02-12 |