| NPI | 1285698894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH F06162475) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 117522) |
| 163W00000X Registered Nurse (Licence: OH RN 368023) | |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2019-01-23 |