| NPI | 1275768061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA 00271 NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA-00271-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F334902-1) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: OH COA-00271-NP) | |
| 363LX0106X Nurse Practitioner, Occupational Health (Licence: OH COA-00271-NP) | |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2016-09-02 |