| NPI | 1295722536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: OH COA.04786-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.04786-NP) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2015-12-14 |