| NPI | 1275536542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH NP1361) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN137342) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2015-07-31 |