| NPI | 1265417364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN-268844) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH NP07311) |
| Enumeration Date | 2005-12-12 |
| Last Update Date | 2014-08-06 |