| NPI | 1275757536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.04022) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.04022-NP) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-09-16 |