| NPI | 1275599912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRNCNP06618) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3591P) |
| 164W00000X Licensed Practical Nurse (Licence: OH 06618) | |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2018-02-19 |